ALEX JOHN ANDERSON MD - Medical Doctor License in Illinois | # 125071978

ALEX JOHN ANDERSON MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071978

License Status

CANCELLED

Business

N

Title

MD

First Name

ALEX

Middle

JOHN

Last Name

ANDERSON

Business Name

ALEX JOHN ANDERSON MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

06/03/2021